REIMY EVANGELISTA DE LEON (DDS) – Orofacial Pain Dentistry, NPI 1750867800

REIMY EVANGELISTA DE LEON (DDS) is a healthcare provider. based in South burlington, Vermont. specializing in DENTIST. They hold the professional credentials DDS. They hold a License No. 016.0134038 (VT). The NPI Number for REIMY EVANGELISTA DE LEON (DDS) is 1750867800

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
REIMY EVANGELISTA DE LEON (DDS)
NPI
1750867800
Phone
(802) 862-7185
Address
40A TIMBER LN
Enumeration Date
12 July 2018
Deactivation Date
13 February 2019
Reactivation Date
25 March 2019
Last Update Date
13 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028627185
Graduation Year
2015 (11 years ago)
PAC ID
3971964586
Professional Enrollment ID
I20230731000144
Address ID
VT054030000SO40XXXLANE400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4 DENTIST in VT

Provider Addresses for REIMY EVANGELISTA DE LEON (DDS)

  • 40A TIMBER LN

    SOUTH BURLINGTON, VT 054037204

    Phone: (802) 862-7185

    Type: Mailing

  • TUFTS UNIVERSITY-SCHOOL OF DENTAL MEDICINE

    1 KNEELAND STREET, 6TH FLOOR

    BOSTON, MA 02111

    Phone: (617) 636-3967

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230731000144IDentistVTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05403)

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Reviews

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Frequently asked questions

What is the registry number for REIMY EVANGELISTA DE LEON (DDS)?
The registry entry for REIMY EVANGELISTA DE LEON (DDS) shows NPI 1750867800.
Is REIMY EVANGELISTA DE LEON (DDS) currently accepting referrals based on NPI status?
Registry metadata lists REIMY EVANGELISTA DE LEON (DDS) as active.
What does the directory say REIMY EVANGELISTA DE LEON (DDS) does?
Insurance directories may phrase it differently, but here REIMY EVANGELISTA DE LEON (DDS) maps to Orofacial Pain Dentistry. Clinical services aligned with this taxonomy classification.
What city is tied to REIMY EVANGELISTA DE LEON (DDS)?
The directory associates REIMY EVANGELISTA DE LEON (DDS) with South Burlington, Vermont. Check all listed addresses for suites or satellite offices.
Why is information missing for REIMY EVANGELISTA DE LEON (DDS)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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